Subacute dislocation of the elbow following Galeazzi fracture-dislocation of the radius: A case report

<p>Abstract</p> <p>Introduction</p> <p>The Galeazzi fracture-dislocation was originally described by Sir Astley Cooper in 1822 but was named after Italian surgeon Ricardo Galeazzi in 1934. It is an injury classified as a radial shaft fracture with associated dislocation of the distal radioulnar joint and disruption of the forearm axis joint. The associated distal radioulnar joint injury may be purely ligamentous in nature, tearing the triangular fibrocartilaginous complex, or involve bony tissue (that is, ulnar styloid avulsions) or both. We report this case because of the rare association of posterior dislocation of the elbow along with Galeazzi fracture-dislocation. To the best of our knowledge, this has not been previously reported in the English literature.</p> <p>Case presentation</p> <p>A 26-year-old Caucasian man presented to our department after a fall from a motorbike. He sustained a closed, isolated Galeazzi fracture-dislocation of the right forearm and no associated elbow injuries, and this necessitated open reduction and internal fixation of the radius. Post-operative radiographs films were satisfactory. However, clinical and radiological evidence of ipsilateral elbow dislocation was noted at a five-week follow-up, subsequently requiring open reduction of the joint and collateral ligament repair. Our patient was noted to have full elbow and forearm function at three months.</p> <p>Conclusions</p> <p>Although the Galeazzi fracture-dislocation has been classically described as involving only the distal radioulnar joint, traumatic forces can be transmitted to the elbow via the interosseous membrane of the forearm. This can lead to instability of the elbow joint. Therefore, we recommend that, in every case of forearm fracture, both elbow and wrist joints be assessed clinically as well as radiologically for subluxation or dislocation.</p

スポーツ キョウギ ノ ガイショウ ト ショウガイ ニ カンスル エキガクテキ チョウサ キョウイク シャカイ カツドウ ノ ホウコク ダイ2ホウ

The Tokyo Faculty of Judo Therapy, which has an athletics trainer course, carried out several projects related to sportsinjuries. The projects had several purposes:( 1) to contribute to society by providing the knowledge about the ways to treatand prevent sports injuries; (2) to promote the collaboration between our university and the surrounding community; (3) toinvolve students in practical experiences. Also, the projects were hoped to function as a part of the public relations efforts forour institute. In the case of" the lectures on the measures to prevent and treat sports injuries for high school athletes", 62.3 percent ofthe participants answered that the lectures were" very useful" or" useful". In the case of" setting up a conditioning booth atthe Adachi-ward Marathon", 92 percent of the visitors answered that the provided services were "satisfactory" or "almostsatisfactory". These activities proved to contribute to society, promote the collaboration with community, deepen students\u27education, and function as a public relations activity

ジュウドウ セイフク ガッカ ガクセイ オヨビ オープン キャンパス サンカシャ ノ スポーツ ニヨル ガイショウ ショウガイ ノ ジッタイ ニ ツイテ

We conducted a questionnaire survey of the visitors to the Judo Therapy booth at the Open Campus events and the studentsof the faculty of Judo Therapy. The questionnaire had two main sections: 1) asking whether they have experiences of playingsports and sports injuries; and 2) asking whether they were treated at judo therapist\u27s offices when they were injured. Theresults show that, out of 160 people surveyed, 158 people (98.74 percent) have an experience of playing sports and 141 people(89.24 percent) of those have an experience of sports injuries. Among them 118 people, who identified the institutions wherethey received the treatment, were asked whether they have been treated at a judo therapist\u27s office. The ratio is significantlyhigher than a group of ordinary junior and high school students. The people surveyed in this study are highly interested injudo therapy. This survey implies that their experiences of sports injuries and the treatment at judo therapist\u27s offices helpedto generate their interest in judo therapy

A Comparative Study on the Minimal Invasiveness of Full-Endoscopic and Microendoscopic Cervical Foraminotomy Using Intraoperative Motor Evoked Potential Monitoring

Background and Objectives: Full-endoscopic cervical foraminotomy (FECF) and microendoscopic cervical foraminotomy (MECF) are effective surgeries for cervical radiculopathy and are considered minimally invasive in terms of damage to paraspinal soft tissue. However, no studies have quantitatively compared FECF and MECF in terms of neurological invasiveness. The aim of this study was to compare the neurological invasiveness of FECF and MECF using intraoperative motor evoked potential (MEP) monitoring. Materials and Methods: A chart review was conducted of 224 patients with cervical radiculopathy who underwent FECF or MECF between April 2014 and March 2020. Patients were 37 women and 187 men, with a mean age of 51 (range, 21–86) years. FECF was performed in 143 cases and MECF was performed in 81 cases. Results: Average MEP amplitude significantly increased from 292 mV before to 677 mV after nerve root decompression in patients who underwent the FECF. The average improvement rate was 273%. In patients who underwent the MECF, average MEP amplitude significantly increased from 306 mV before to 432 mV after nerve root decompression. The average improvement rate was 130%. The improvement rate was significantly higher for FECF compared with MECF. Conclusions: MEP amplitude increased after nerve root decompression in both FECF and MECF, but the improvement rate was higher in FECF. These results suggest that FECF might be more minimally invasive than MECF in terms of neurological aspects.</jats:p